P Praxis·MD
● Active Type 2 · Organization

Purple Hearts Primary Care Services, Pllc

Clinic/Center·Grand Prairie, TX· NPI 1043703358 · Enumerated 2018 · 7 years on NPI
Purple Hearts Primary Care Services, Pllc is 1 of 1466 clinic/center organizations in Texas.
NPI age
7 years
Enumerated 2018-06-11
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Modisette
Ceo
Last NPPES update
2020-12-07
Source: monthly bulk 2026-05

How this organization compares

Across 1466 active clinic/center providers in Texas.

NPI age
7 years
↓ 2 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-06Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
688 W Pioneer Pkwy Ste 120
Grand Prairie, TX 750514861
📞 8179694651fax 2147102188
Mailing address
3901 Arlington Highlands Blvd Ste 281
Arlington, TX 760186036
📞 8179694651fax 2147102188

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3901 Arlington Highlands Blvd Ste 200
Arlington, TX 76018
📞 8176955035

Authorized official

Raven Modisette, FNP-C,PMHNP-BC
Ceo
📞 8179694651

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #AP137299 taxonomy 261QP2300X

Identifiers

TypeValueNotes
05 (TX) 393575101

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Purple Hearts Primary Care Services
    Type code 4 recorded 2018-06-11

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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